================================================================================ UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ----------------------- FORM 10-Q QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 For the Quarterly Period Ended March 31, 1998 ------------------------------- Commission File Number 0-26816 IDX SYSTEMS CORPORATION (Exact name of registrant as specified in its charter) Vermont 03-0222230 (State or other jurisdiction of (I.R.S. Employer incorporation or organization) Identification No.) 1400 Shelburne Road South Burlington, VT 05403 (Address of principal executive offices) Registrant's telephone number, including area code: (802-862-1022) Indicate by check mark whether the registrant has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports). Yes X No ---- ---- Indicate by check mark whether the registrant has been subject to such filing requirements for the past 90 days. Yes X No ---- ---- The number of shares outstanding of the registrant's common stock as of May 8, 1998 was 26,284,998. [Exhibit index begins on Page 19] -- IDX SYSTEMS CORPORATION FORM 10-Q For the quarterly Period Ended March 31, 1998 TABLE OF CONTENTS Page PART I. FINANCIAL INFORMATION ---- ITEM 1. Interim Financial Statements: a) Condensed consolidated balance sheets as of March 31, 1998 and December 31, 1997 (unaudited)...............3 b) Condensed consolidated statements of income and comprehensive income for the three months ended March 31, 1998 and 1997(unaudited)............................4 c) Condensed consolidated statements of cash flows for the three months ended March 31, 1998 and 1997 (unaudited)....................................................5 d) Notes to condensed consolidated financial statements...........6 ITEM 2. Management's discussion and analysis of financial condition and results of operations...............................9 PART II. OTHER INFORMATION ITEM 1. Legal proceedings.................................................17 ITEM 2. Changes in securities.............................................17 ITEM 3. Defaults upon senior securities...................................17 ITEM 4. Submission of matters to a vote of security holders...............17 ITEM 5. Other information.................................................17 ITEM 6. Exhibits and reports on Form 8-K..................................17 SIGNATURES.................................................................18 EXHIBIT INDEX..............................................................19 Page 2 of 32 PART I. FINANCIAL INFORMATION Item 1. Interim Financial Statements IDX SYSTEMS CORPORATION CONDENSED CONSOLIDATED BALANCE SHEETS (IN THOUSANDS) (UNAUDITED) MARCH 31 DECEMBER 31 1998 1997 ---- ---- ASSETS Cash and securities $ 115,368 $ 115,887 Accounts receivable, net 71,078 66,587 Other current assets 13,848 14,718 --------- --------- Total current assets 200,294 197,192 Property and equipment, net 29,972 28,277 Capitalized software costs, net 839 368 Other assets 11,481 11,480 --------- --------- Total assets $ 242,586 $ 237,317 ========= ========= LIABILITIES AND STOCKHOLDERS' EQUITY Accounts payable, accrued expenses and other liabilities $ 27,331 $ 34,748 Deferred revenue 19,530 21,538 ---------- ---------- Total current liabilities 46,861 56,286 Long term debt - 2,508 Minority interest 8,659 1,919 Stockholders' equity 187,066 176,604 ---------- ---------- Total liabilities and stockholders' equity $ 242,586 $ 237,317 ========== ========== See Notes to the Condensed Consolidated Financial Statements NOTE: The balance sheet at December 31, 1997 has been derived from the audited financial statements at that date. Page 3 of 32 PART I. FINANCIAL INFORMATION Item 1. Interim Financial Statements IDX SYSTEMS CORPORATION CONDENSED CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS) (UNAUDITED) THREE MONTHS ENDED MARCH 31 1998 1997 ---- ---- REVENUES Systems sales $ 38,966 $ 33,440 Maintenance and service fees 33,771 26,119 --------- --------- Total revenues 72,737 59,559 OPERATING EXPENSES Cost of sales 37,248 29,964 Selling, general and administrative 13,752 12,731 Research and development 10,316 8,478 Write-off of acquired in-process research and development costs 3,201 2,290 --------- -------- Total operating expenses 64,517 53,463 Operating income 8,220 6,096 Interest and other income, net 1,122 1,195 --------- -------- Income before income taxes 9,342 7,291 Income tax provision 4,940 2,794 --------- -------- Net income $ 4,402 $ 4,497 Unrealized gain (loss) on securities (3) 13 available-for-sale --------- --------- Comprehensive income $ 4,399 $ 4,510 ========== ========= Basic earnings per share $ 0.17 $ 0.18 ========== ========= Basic weighted average shares outstanding 26,155 25,485 ========== ========= Diluted earnings per share $ 0.16 $ 0.17 ========== ========= Diluted weighted average shares outstanding 27,007 26,226 ========== ========= See Notes to the Condensed Consolidated Financial Statements Page 4 of 32 PART I. FINANCIAL INFORMATION Item 1. Interim Financial Statements IDX SYSTEMS CORPORATION STATEMENTS OF CASH FLOWS (IN THOUSANDS) (UNAUDITED) THREE MONTHS ENDED MARCH 31 1998 1997 ---- ---- OPERATING ACTIVITIES Net Income $ 4,402 $ 4,497 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization 2,490 2,207 Deferred tax benefit (517) 468 Increase in allowance for doubtful accounts 31 165 Minority interest 241 128 Write-off of acquired in-process research and development costs 3,201 2,290 Changes in operating assets and liabilities: Accounts receivable (4,522) (7,651) Notes receivable (1,163) (36) Prepaid expenses and other assets 2,851 (2,257) Accounts payable 5,410 844 Accrued expenses (9,270) 2,611 Federal and state taxes payable 0 1,349 Deferred revenue (2,008) 2,538 ------- ------- Net cash provided by operating activities 1,146 7,153 INVESTING ACTIVITIES Purchase of property and equipment, net (4,156) (3,731) Purchase of securities available-for-sale, net (36,076) (11,436) Sale of securities available-for-sale 33,178 9,969 Purchase of certain net assets (3,500) (2,500) Capitalized software developments costs (500) (857) ------- ------ Net cash used in investing activities (11,054) (8,555) FINANCING ACTIVITIES Proceeds from sale of common stock 6,060 593 Increase in minority interest 6,500 0 Principal repayments of long-term debt (6,066) (25) -------- -------- Net cash provided by financing activities 6,494 568 -------- ------- Decrease in cash and cash equivalents (3,414) (834) Cash and cash equivalents at beginning of period 14,061 12,327 ------- ------- Cash and cash equivalents at end of period $ 10,647 $ 11,493 ========= ========= See Notes to the Condensed Consolidated Financial Statements Page 5 of 32 PART I. FINANCIAL INFORMATION Notes to Condensed Consolidated Financial Statements Note 1 - Basis of Presentation All financial information for previously reported periods included in the accompanying interim unaudited condensed consolidated financial statements of IDX Systems Corporation ("Company" or "IDX") has been restated to reflect the combined operations of IDX and PHAMIS, Inc. ("PHAMIS") as a result of the merger, more fully described in Note 2, which has been accounted for as a pooling of interests in the quarter ended September 30, 1997. No adjustments were required to conform the financial reporting policies of IDX and PHAMIS for the periods presented. The interim unaudited consolidated financial statements have been prepared by the Company pursuant to the rules and regulations of the Securities and Exchange Commission and in accordance with generally accepted accounting principles. Accordingly, certain information and footnote disclosures normally included in annual financial statements have been omitted or condensed. In the opinion of management, all necessary adjustments have been made to provide a fair presentation. The operating results for the three months ended March 31, 1998 are not necessarily indicative of the results that may be expected for the year ending December 31, 1998. For further information, refer to the consolidated financial statements and footnotes included in the Company's latest annual report on Form 10-K. Note 2 - Business Acquisitions On February 23, 1998, the Company recorded charges of $3.2 million related to the acquisition of contract management system technology from Trego Systems, Inc. for cash of $4.0 million. The acquisition was accounted for under the purchase method. The charges were expensed as in-process research and development in connection with the Company's development of a healthcare contract management system. In July 1997, the Company completed the Merger with PHAMIS which became a wholly-owned subsidiary of the Company. The transaction was accounted for as a pooling-of-interests and accordingly, the accompanying financial statements include the accounts of PHAMIS for all periods presented. Page 6 of 32 PART I. FINANCIAL INFORMATION Note 3 - Income Taxes The provision for income taxes for the quarter ended March 31, 1998 was provided for at the taxable income rate of approximately 50%, which is more than the Company's historical rate of 40%. This higher rate is due to a portion of the charges incurred in the acquisition of Trego Systems, Inc. being non-deductible for income tax purposes. Note 4 - Earnings Per Share Information In February 1997, the Financial Accounting Standards Board issued Statement No. 128, EARNINGS PER SHARE, which the Company adopted on December 31, 1997. At that time, the Company changed the method used to compute earnings per share and restated all prior periods. Under the new requirements for calculating primary earnings per share, the dilutive effect of stock options is excluded. The following sets forth the computation of basic and diluted earnings per share: THREE MONTHS ENDED MARCH 31 1998 1997 ---- ---- Numerator: Net income $ 4,402 $ 4,497 -------- -------- Numerator for basic and diluted earnings per share $ 4,402 $ 4,497 Denominator: Denominator for basic earnings per share-- weighted-average shares 26,155 25,485 Effect of employee stock options 852 741 -------- --------- Denominator for diluted earnings per share 27,007 26,226 ======== ======== Basic earning per share $0.17 $0.18 ===== ===== Diluted earnings per share $0.16 $0.17 ===== ====== Note 5 - Reporting Comprehensive Income In June 1997, the Financial Accounting Standards Board issued SFAS No. 130, "Reporting Comprehensive Income," which the Company adopted on January 1, 1998. Comprehensive income is reported in the Company's Condensed Consolidated Statements of Income and Comprehensive Income, and presents the effect of unrealized gain (loss) on securities available for sale to net income. Note 6 - Reclassifications Certain prior period amounts have been reclassified to conform with current period presentations. Page 7 of 32 PART I. FINANCIAL INFORMATION Item 2.Management's Discussion and Analysis of Financial Condition and Results of Operations MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS GENERAL The Company reported net income of $4.4 million, or $0.16 per share for the three months ended March 31, 1998 as compared to $4.5 million , or $0.17 per share for the three months ended March 31, 1997. Excluding nonrecurring expenses for costs associated with the acquisition of Trego Systems, Inc., the Company reported net income of $7.5 million, or $0.28 per share, for the first quarter of 1998 as compared to net income of $5.7 million, or $0.22 per share, for the first quarter of 1997. This Management's Discussion and Analysis of Financial Conditions and Results of Operations includes a number of forward-looking statements which reflect the Company's current views with respect to future events and financial performance. These forward-looking statements are subject to certain risks and uncertainties including those discussed below that could cause actual results to differ materially from historical results or those anticipated. The Company has identified by italics or all capital letters, various, but not all, sentences within this Quarterly Report which contain such forward-looking statements. In addition, words such as "believes," "may," "plans," "anticipates," "expects," "intends," and similar expressions are intended to identify forward-looking statements, but are not the exclusive means of identifying such statements. In addition, the disclosures in the section on page 12 under the caption "Factors Affecting Future Results," which is not italicized for improved readability, consists principally of a discussion of risks which may affect future results and, are thus, in their entirety forward-looking in nature. Readers are urged to carefully review and consider the various disclosures made by the Company in this report and in the Company's other reports filed with the Securities and Exchange Commission that attempt to advise interested parties of the risks and factors that may affect the Company's business. RESULTS OF OPERATIONS THREE MONTHS ENDED MARCH 31, 1998 COMPARED TO THREE MONTHS ENDED MARCH 31, 1997. REVENUES The Company's total revenues increased to $72.7 million during the three months ended March 31, 1998 from $59.6 million in the corresponding period in 1997, an increase of $13.1 million or 22.0%. Revenues from systems sales increased to $39.0 million during the three months ended March 31, 1998 (53.6% of total revenues) from $33.4 million (56.1% of total revenues) in the corresponding period in 1997, an increase of $5.6 million or 16.5%. The increase was primarily due to an increase in installations of certain of the Company's IDXtend and LastWord systems. Revenues from maintenance and service fees increased to $33.7 million during the three months ended March 31, 1998 (46.4% of total revenues) from $26.2 million (43.9% of total revenues) in the corresponding period in 1997, an increase of $7.5 million or 29.3%. The increase in revenues from maintenance and service fees was due principally to additional maintenance revenues resulting from the continued growth in the Company's installed client base. Page 8 of 32 PART I. FINANCIAL INFORMATION COST OF SALES The cost of sales and services increased to $37.2 million during the three months ended March 31, 1998 from $30.0 million in the corresponding period in 1997, an increase of $7.2 million or 24.3%. The gross profit margin on systems sales and services decreased to 48.8% during the three months ended March 31, 1998 from 49.7% in the corresponding period in 1997. The decrease in gross profit was due primarily to an increase in client service staff to install and support the Company's products. SELLING, GENERAL AND ADMINISTRATIVE EXPENSES Selling, general and administrative expenses increased to $13.8 million during the three months ended March 31, 1998 from $12.7 million in the corresponding period in 1997, an increase of $1.1 million or 8.0%. As a percentage of total revenues, selling, general and administrative expenses decreased to 18.9% during the three months ended March 31, 1998 from 21.4% in the corresponding period in 1997. The increase in selling, general and administrative expenses during the three months ended March 31, 1998 was principally due to an increase in the Company's sales and marketing staff which will allow for the continued growth of the Company. RESEARCH AND DEVELOPMENT Research and development expenses increased to $10.3 million during the three months ended March 31, 1998 from $8.5 million in the corresponding period in 1997, an increase of $1.8 million or 21.7%. The increase is attributed to an increase in personnel expenses and outside consultants to support the development of additional products for the Company. As a percentage of total revenues, research and development expenses remained constant at 14.2% during the three months ended March 31, 1998 compared to March 31, 1997. Software development costs incurred subsequent to the establishment of technological feasibility until general release of the related products are capitalized. Prior to the merger, technological feasibility was determined differently by IDX and PHAMIS. Subsequent to the merger the Company's determination of technological feasibility for all product development is based on the completion of a working model which has been approved for beta site testing. Historically costs incurred during beta site testing have not been material. Although the Company presently expects costs to complete beta site testing in the future to be insignificant, as the Company develops products to operating using other technologies as well as more comprehensive clinical systems, the time and effort required to complete beta site testing may be significantly more extensive. Consequently, capitalized software development costs may become material in future reporting periods. WRITE-OFF OF ACQUIRED IN-PROCESS RESEARCH AND DEVELOPMENT On February 23, 1998, the Company recorded nonrecurring charges of $3.2 million related to the acquisition of contract management technology from Trego Systems, Inc. for cash of $4.0 million. The acquisition was accounted for under the purchase method. The charges were expensed as in-process research and development in connection with the Company's development of a healthcare contract management system. LIQUIDITY AND CAPITAL RESOURCES Since its inception in 1969, the Company has funded its operations, working capital needs and capital expenditures primarily from operations, except for real estate owned by certain partnerships and trusts financed through industrial development bonds. The proceeds from its initial public offering were (i) distributed to stockholders of the Company in connection with the Page 9 of 32 PART I. FINANCIAL INFORMATION Company's prior status as an S corporation under the Internal Revenue Code of 1986, as amended, and (ii) used for general corporate purposes, including working capital purposes, payment of current expenses and strategic transactions, including acquisitions of businesses, products and technologies. Cash flows from operations are principally comprised of net income and depreciation and are primarily affected by the net effect of the change in accounts receivable, accounts payable and accrued expenses. Due to the nature of the Company's business, accounts receivable, deferred revenue and accounts payable fluctuate considerably due to, among other things, the length of the sales cycle and installation efforts which are dependent upon the size of the transaction, the changing business plans of the customer, the effectiveness of customers' management and general economic conditions. In general accounts receivable from customers have been collected consistently within 95 days. Cash flows related to investing activities have principally been related to the purchase of computer and office equipment, leasehold improvements, and the purchase and sale of investment grade marketable securities. THE COMPANY EXPECTS THESE ACTIVITIES TO CONTINUE. INVESTING ACTIVITIES MAY ALSO INCLUDE PURCHASES OF INTERESTS IN AND ACQUISITIONS OF COMPLEMENTARY PRODUCTS, TECHNOLOGIES AND BUSINESSES. There can be no assurance that the Company will be able to successfully complete any such purchases or acquisitions in the future. Cash, cash equivalents and marketable securities at March 31, 1998 were $115.4 million, a slight decrease from the March 31, 1997 balaqnce of $115.9 million. The Company has a revolving line of credit with a bank allowing the Company to borrow up to $5.0 million bearing interest at the prime rate. There were no borrowings as of March 31, 1998 or 1997. THE COMPANY EXPECTS THAT ITS REQUIREMENTS FOR OFFICE FACILITIES AND OTHER OFFICE EQUIPMENT WILL GROW AS STAFFING REQUIREMENTS DICTATE. The Company's operating lease commitments consist primarily of office leasing for the Company's operating facilities. THE COMPANY PLANS TO CONTINUE INCREASING THE NUMBER OF ITS PROFESSIONAL STAFF DURING 1998 TO MEET ANTICIPATED SALES VOLUME AND TO SUPPORT RESEARCH AND DEVELOPMENT EFFORTS. TO THE EXTENT NECESSARY TO SUPPORT INCREASES IN STAFFING, THE COMPANY INTENDS TO OBTAIN ADDITIONAL OFFICE SPACE. THE COMPANY BELIEVES THAT CURRENT OPERATING FUNDS WILL BE SUFFICIENT TO FINANCE ITS OPERATING REQUIREMENTS AT LEAST THROUGH DECEMBER 1998. To date, inflation has not had a material impact on the Company's revenues or income. INCOME TAXES The provision for income taxes for the quarter ended March 31, 1998 was provided for at the taxable income rate of approximately 50%, which is higher than the historical rate of 40%. This higher rate is due to a portion of the charges incurred in the acquisition of Trego Systems, Inc. which are non-deductible for income tax purposes. FOR 1998, THE COMPANY Page 10 of 32 PART I. FINANCIAL INFORMATION ANTICIPATES AN EFFECTIVE TAX RATE OF APPROXIMATELY 40% OF PRE-TAX INCOME. NEW ACCOUNTING STANDARDS In October, 1997, the American Institute of Certified Public Accountants issued Statement of Position ("SOP") 97-2, Software Revenue Recognition, revising certain aspects of SOP 91-1, which the Company adopted on January 1, 1998. SOP 97-2 did not materially affect the Company's revenue recognition policies with respect to software license fees which are based upon vendor-specific objective information and relate principally to its proprietary systems software which generally requires no significant production, modification or customization. License revenue, accordingly, is deferred and recognized as customer payments become due based upon specified milestones and due dates including delivery, installation and final systems acceptance. In June 1997, the Financial Accounting Standards Board issued SFAS No. 130 and No. 131, "Reporting Comprehensive Income" and "Disclosures About Segments of an Enterprise and Related Information," which the Company adopted on Janaury 1, 1998. The adoption of these new accounting standards did not have a material impact on the Company's financial statements. In February 1997, the Financial Accounting Standards Board issued SFAS No. 128, Earnings per Share, which the Company adopted on December 31, 1997. SFAS No. 128 replaced the calculation of primary and fully diluted earnings per share with basic and diluted earnings per share. Unlike primary earnings per share, basic earnings per share excludes any dilutive effects of options, warrants and convertible securities. Diluted earnings per share is not materially different from the previously reported fully diluted earnings per share. YEAR 2000 THE COMPANY HAS ASSESSED ITS INTERNAL USE SYSTEMS AND ITS CURRENTLY SUPPORTED PRODUCTS, AND PRODUCTS SUPPLIED TO OR BY THE COMPANY BY THIRD PARTIES FOR USE IN CONNECTION WITH THE COMPANY'S PRODUCTS, FOR POSSIBLE PROBLEMS IN PROCESSING, REPORTING, DISPLAYING AND OTHERWISE HANDLING DATE DATA CONTAINING THE YEAR 2000 AND BEYOND. THE COMPANY BELIEVES IT HAS FORMULATED AND IS IN THE PROCESS OF IMPLEMENTING OR HAS COMPLETED ALL PLANS TO MAKE YEAR 2000 READY ALL OF ITS CRITICAL INTERNAL USE SYSTEMS AND ALL OF ITS CURRENTLY SUPPORTED PRODUCTS. AT MARCH 31, 1998, ALL OF THE CORE DATA BASES AND DATA PROCESSING FUNCTIONS OF THE COMPANY'S SIGNIFICANT PRODUCTS WERE YEAR 2000 READY. THE COMPANY EXPECTS THAT ELEMENTS OF THE COMPANY'S PRODUCTS OTHER THAN CORE DATABASES AND DATA PROCESSING FUNCTIONS, SUCH AS CERTAIN SCREENS AND REPORTS, WILL BE YEAR 2000 READY IN 1998. THE COMPANY HAS EXPENSED AMOUNTS INCURRED AS OF MARCH 31, 1998 TO Page 11 of 32 PART I. FINANCIAL INFORMATION MAKE SUCH PRODUCTS YEAR 2000 READY, AND SUCH AMOUNTS HAVE NOT BEEN MATERIAL. THE ADDITIONAL COSTS TO MAKE ALL SUCH REMAINING SYSTEMS YEAR 2000 READY BY THE END OF 1998 WILL BE EXPENSED AS INCURRED, ARE EXPECTED TO BE INCURRED IN 1998 AND ARE NOT EXPECTED TO BE MATERIAL. THE COMPANY UNDER ITS MAINTENANCE AGREEMENTS EXPECTS TO COMMENCE DELIVERY TO ITS INSTALLED CUSTOMERS OF YEAR 2000 READY VERSIONS OF ALL OF ITS SIGNIFICANT PRODUCTS IN 1998 AND TO COMPLETE MOST INSTALLATIONS OF SUCH VERSIONS BY MID 1999. THE COSTS TO INSTALL YEAR 2000 READY VERSIONS OF THE COMPANY'S PRODUCTS AT CUSTOMER SITES, AS WELL AS THE ABILITY OF THE COMPANY TO ASSIST CUSTOMERS IN THE INSTALLATION OF YEAR 2000 READY VERSIONS OF ITS PRODUCTS, WILL DEPEND IN PART ON THE READINESS, ABILITY AND COOPERATION OF CUSTOMERS TO INSTALL SUCH VERSIONS. ANY OF THE COMPANY'S INTERNAL USE SYSTEMS AND ANY OF THE PRODUCTS SUPPLIED BY THE COMPANY TO ITS CUSTOMERS, AND PRODUCTS SUPPLIED TO OR BY THE COMPANY BY THIRD PARTIES FOR USE IN CONNECTION WITH THE COMPANY'S PRODUCTS, COULD FAIL TO ADEQUATELY OR PROPERLY PROCESS, DISPLAY, REPORT, OR OTHERWISE HANDLE DATE DATA CONTAINING THE YEAR 2000 AND BEYOND. ANY FAILURE OF A CUSTOMER TO BE READY OR ABLE TO TIMELY INSTALL YEAR 2000 READY VERSIONS OF THE COMPANY'S PRODUCTS OR PRODUCTS SUPPLIED TO OR BY THE COMPANY BY THIRD PARTIES FOR USE IN CONNECTION WITH THE COMPANY'S PRODUCTS, COULD CAUSE SIGNIFICANT OPERATIONAL PROBLEMS FOR THE CUSTOMER. FURTHER, A FAILURE OF THE COMPANY TO TIMELY MAKE AVAILABLE YEAR 2000 READY VERSIONS OF ITS PRODUCTS, OR A FAILURE OF THE COMPANY TO TIMELY PROVIDE ADEQUATE RESOURCES TO ASSIST ITS CUSTOMERS IN INSTALLING YEAR 2000 READY VERSIONS OF ITS PRODUCTS, COULD RESULT IN CLAIMS BY CUSTOMERS, WHICH MAY HAVE A MATERIAL ADVERSE EFFECT ON THE BUSINESS, OPERATIONS, AND FUTURE FINANCIAL RESULTS OF THE COMPANY. FACTORS AFFECTING FUTURE RESULTS The Company's revenues and operating results can vary significantly from quarter to quarter as a result of a number of factors, including the volume and timing of systems sales and installations, and length of sales cycles and installation efforts. The timing of revenues from systems sales is difficult to forecast because the Company's sales cycle can vary depending upon factors such as the size of the transaction, the changing business plans of the customer, the effectiveness of customer's management, and general economic conditions. In addition, because revenue is recognized at various points during the installation process, the timing of revenue recognition varies considerably based on a number of factors, including availability of personnel, availability of the customer's resources and complexity of the needs of the customer's organization. The Company's initial contact with a potential customer depends in significant part on the customer's decision to replace, expand, or substantially modify its existing information systems, or modify or add business processes or lines of business. How and when to implement, replace, expand or substantially modify an information system or modify or add business processes or lines of Page 12 of 32 PART I. FINANCIAL INFORMATION business, are major decisions for healthcare organizations. Accordingly, the sales cycle for the Company's systems is typically three to eighteen months or more from contract execution to completion of installation. During the sales cycle and the installation cycle, the Company expends substantial time, effort and funds preparing contract proposals, negotiating the contract and implementing the system. Because a significant percentage of the Company's expenses are relatively fixed, a variation in the timing of systems sales and installation can cause significant variations in operating results from quarter to quarter. The Company's future operating results may fluctuate as a result of these and other factors, such as customer purchasing patterns, and the timing of new product and service introductions and product upgrade releases. The Company believes that quarterly results of operations will continue to be subject to significant fluctuations and that its results of operations for any particular quarter or fiscal year may not be indicative of results of operations for future periods. There can be no assurance that future period to period fluctuations will continue and will not have a material adverse effect on the Company's results of operations, financial condition or business. The Company intends to continue to grow in part through acquisitions of complementary products, technologies and businesses or alliances with complementary businesses. The Company's ability to expand successfully through acquisitions or alliances depends on many factors, including the successful identification and acquisition of products, technologies or businesses and management's ability to effectively integrate and operate the acquired or aligned products, technologies or businesses. There is significant competition for acquisition and alliance opportunities in the healthcare information systems industry, which may intensify due to consolidation in the industry, thereby increasing the costs of capitalizing on such opportunities. The Company competes for acquisition and alliance opportunities with other companies that have significantly greater financial and management resources. There can be no assurance that the Company will be successful in acquiring or aligning with any complementary products, technologies or businesses; or, if acquired or aligned with, that the Company will be able to successfully integrate any such products, technologies or businesses into its current business and operations. The failure to successfully integrate any significant products, technologies or businesses could have a material adverse effect on the Company's results of operations, financial condition or business. Integrating the operations and management of the Company and PHAMIS has been and will continue to be a time-consuming process, and will require the dedication of management resources, which has and may continue to temporarily distract attention from the day-to-day business of the combined Company. There can be no assurance that this integration will be completed smoothly or successfully, and the inability of management to successfully integrate the operations or management of the two companies could have a material adverse effect on the business, results of operations or financial condition of the combined Company. As previously discussed in the section "Merger and Related Costs" the Company has incurred significant merger and related costs. Additional unanticipated expenses may be incurred in connection with the continued integration of the business of the Company and PHAMIS. The stock market has, from time to time, experienced extreme price and volume fluctuations, particularly in the high technology and healthcare information technology sectors, which have often been unrelated to the operating performance of particular companies. The Company Page 13 of 32 PART I. FINANCIAL INFORMATION experiences fluctuations in its stock price related to these general market swings as well as announcements of technological innovations, new product introductions by the Company or its competitors, market conditions in the computer software or hardware industries and healthcare reform measures. These fluctuations could have a significant impact on the future market price of the Company's Common Stock. As a developer of information systems, the Company must anticipate and adapt to evolving industry standards and new technological developments. The market for the Company's products is characterized by continued and rapid technological advances in both hardware and software development, requiring ongoing expenditures for research and development and the timely introduction of new products and enhancements to existing products. The establishment of standards is largely a function of user acceptance. Therefore, such standards are subject to change. The Company's future success will depend in part upon its ability to enhance its existing products, to respond effectively to technology changes, to migrate its clients to new technologies, to sell additional products to its existing client base and to introduce new products and technologies to meet the evolving needs of its clients in the healthcare information systems market. The Company is currently devoting significant resources toward the development of enhancements to its existing products and the migration of existing products to new hardware and software platforms. There can be no assurance that the Company will successfully complete the development of these products or this migration in a timely fashion or that the Company's current or future products will satisfy the needs of the healthcare information systems market. Further, there can be no assurance that products or technologies developed by others will not adversely affect the Company's competitive position or render its products or technologies noncompetitive or obsolete. Any of the Company's internal use systems and any of the products supplied by the Company to its customers could fail to adequately or properly process, display, report, or otherwise handle date data containing the year 2000 and beyond. Any failure of a customer to be ready or able to timely install year 2000 ready versions of the Company's products could cause significant operational problems for the customer. Further, a failure of the Company to timely make available year 2000 ready versions of its products, or a failure of the Company to timely provide adequate resources to assist its customers in installing year 2000 ready versions of its products, could result in claims by customers, which may have a material adverse effect on the business, operations, and future financial results of the Company. The Company currently derives a significant percentage of its revenues from sales of financial and administrative healthcare information systems and related services. As a result, any factor adversely affecting sales of these products and services could have a material adverse effect on the Company's results of operations, financial condition or business. Although the Company has experienced increasing annual sales, revenues associated with existing products may decline as a result of several factors, including price competition. There can be no assurance that the Company will continue to be successful in marketing its current products or any new or enhanced products or maintaining the current pricing for its existing products. Certain of the Company's products provide applications that relate to patient medical histories and treatment plans. Any failure by the Company's products to provide accurate, secure and timely information could result in product liability claims against the Company by its clients or Page 14 of 32 PART I. FINANCIAL INFORMATION their affiliates or patients. The Company maintains insurance that it believes is adequate to protect against claims associated with the use of its products, but there can be no assurance that its insurance coverage would adequately cover any claim asserted against the Company. A successful claim brought against the Company in excess of its insurance coverage could have a material adverse effect on the Company's results of operations, financial condition or business. Even unsuccessful claims could result in the expenditure of funds in litigation, as well as diversion of management time and resources. There can be no assurance that the Company will not be subject to product liability claims, that such claims will not result in liability in excess of its insurance coverage or that the Company's insurance will cover such claims or that appropriate insurance will continue to be available to the Company in the future at commercially reasonable rates. The success of the Company is dependent to a significant degree on its key management, sales and marketing, and technical personnel. The Company believes that its continued future success will also depend upon its ability to attract, motivate and retain highly skilled, managerial, sales and marketing, and technical personnel, including software programmers and systems architects skilled in the computer languages in which the Company's products operate. Competition for such personnel in the software and information services industries is intense. The loss of key personnel, or the inability to hire or retain qualified personnel, could have a material adverse effect on the Company's results of operations, financial condition or business. Although the Company has been successful to date in attracting and retaining skilled personnel, there can be no assurance that the Company will continue to be successful in attracting and retaining the personnel it requires to successfully develop new and enhanced products and to continue to grow and operate profitably. The healthcare industry in the United States is subject to changing political, economic and regulatory influences that may affect the procurement practices and operations of healthcare organizations. The Company's products are designed to function within the structure of the healthcare financing and reimbursement system currently being used in the United States. During the past several years, the healthcare industry has been subject to increasing levels of governmental regulation of, among other things, reimbursement rates and certain capital expenditures. From time to time, certain proposals to reform the healthcare system have been considered by Congress. These proposals, if enacted, may increase government involvement in healthcare, lower reimbursement rates and otherwise change the operating environment for the Company's clients. Healthcare organizations may react to these proposals and the uncertainty surrounding such proposals by curtailing or deferring investments, including those for the Company's products and services. The Company cannot predict with any certainty what impact, if any, such proposals or healthcare reforms might have on its results of operations, financial condition or business. The U.S. Food and Drug Administration (the "FDA") has promulgated a draft policy for the regulation of certain computer software products as medical devices under the 1976 Medical Device Amendments to the Federal Food, Drug and Cosmetic Act (the "FDC Act") and has recently indicated it may modify such draft policy or create a new policy. To the extent that computer software is a medical device under the policy, the manufacturers of such products could be required, depending on the product, to (i) register and list their products with the FDA, Page 15 of 32 PART I. FINANCIAL INFORMATION (ii) notify the FDA and demonstrate substantial equivalence to other products on the market before marketing such products, or (iii) obtain FDA approval by demonstrating safety and effectiveness before marketing a product. Depending upon the intended use of a device, IDX could be required by the FDA to obtain extensive data from clinical studies to demonstrate safety or effectiveness, or substantial equivalence. If the FDA requires such data, IDX would be required to obtain approval of an investigational device exemption before undertaking clinical trials. Clinical trials can take extended periods of time to complete and there can be no assurance that the FDA will approve or clear a device after the completion of such trials. In addition, such products would be subject to FDC Act's general controls, including those relating to good manufacturing practices and adverse experience reporting. Although it is not possible to anticipate the final form of the FDA's policy with regard to computer software, the Company expects that, whether or not the draft is finalized or changed, the FDA is likely to become increasingly active in regulating computer software that is intended for use in healthcare settings. The FDA can impose extensive requirements governing pre- and post-market conditions such as service investigation, approval, labeling and manufacturing. In addition, the FDA can impose extensive requirements governing development controls and quality assurance processes. There can be no assurance that actions taken by the FDA to regulate computer software products will not have a material adverse effect on the Company's results of operations, financial condition or business. Because of these and other factors, past financial performance should not be considered an indicator of future performance. Investors should not use historical trends to anticipate future results. Page 16 of 32 PART II. OTHER INFORMATION Item 1. LEGAL PROCEEDINGS None. Item 2. CHANGES IN SECURITIES None. Item 3. DEFAULTS UPON SENIOR SECURITIES Not applicable. Item 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS. None. Item 5. OTHER INFORMATION None. Item 6. EXHIBITS AND REPORTS ON FORM 8-K. (a) The exhibits filed as part of this Form 10-Q are listed on the Exhibit Index immediately preceding such exhibits, which Exhibit Index is incorporated herein by reference. (b) No Current Reports on Form 8-K were filed by the Company during the last quarter of the period covered by this report. Page 17 of 32 Signatures Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. IDX SYSTEMS CORPORATION Date: May 14, 1998 By:/s/ John A. Kane __________________________ John A. Kane, Vice President, Finance and Administration, Chief Financial Officer and Treasurer (Principal Financial and Accounting Officer) Page 18 of 32 Exhibit Index ------------- The following exhibits are filed as part of this Quarterly Report on Form 10-Q: Exhibit No. Description Page - ----------- ----------- ---- 10A Second Addendum to Lease Agreement between 4901 LBJ 20 Limited Partnership and IDX Systems Corporation 10B Third Amendment to Lease between Huntington Avenue 23 Limited Partnership and IDX Systems Corporation 10C Fourth Amendment to Lease between Huntington Avenue 28 Limited Partnership and IDX Systems Corporation 27 Financial Data Schedule 33 Page 19 of 32 EXHIBIT 10A SECOND ADDENDUM TO LEASE AGREEMENT THIS ADDENDUM is made as of the 21st day of April, 1997, by and between 4901 LBJ Limited Partnership ("Lessor") and IDX Systems Corporation ("Lessee"). IN CONSIDERATION of the premises, the covenants set forth herein, and other consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows: 1. SCOPE AND EFFECT This Addendum modifies, supplements and becomes a part of the Lease and in the event of any express conflict or inconsistency between the express terms hereof and the terms of the Lease, the terms of this Addendum shall govern and control. In all other respects, the Lease shall be and remain in full force and effect. 2. PREMISES To the end of Section 1 of the Lease, entitled "Premises," add the following clause: From and after April 21, 1997, the premises leased to the Lessee shall be described as follows: ten thousand eight hundred eighty-five (10,885) rentable square feet of office space, representing the entire fourth (4th) floor of the office building at a rate of $11.23 per square foot. The third (3rd) floor shall be divided as eight thousand seven hundred ninty-three (8,793) rentable square feet at the rate of $11.23 per square foot and a new additional two thousand ninty-two (2,092) square feet at the rate of $14.50 per square foot of office space for a total of ten thousand eight hundred eighty-five (10,885) rentable square feet, representing the entire (3rd) floor of the office building. (See attached Exhibit "A" for Base Monthly Rent and additional charges). Page 20 of 32 3. MISCELLANEOUS Lessor will allow $10.00 per square foot tenant finish on the new additional two thousand ninty-two square feet (2,092). Each party agrees to execute and deliver all such additional documents and instruments and perform such additional acts as may be necessary or appropriate to effectuate and perform all of the terms, provisions and conditions of this Agreement. IN WITNESS WHEREOF, the parties hereto have duly executed this instrument on the date(s) indicated below. WITNESS/ATTEST: 4901 LBJ LIMITED PARTNERSHIP By: IDX Systems Corporation, General Partner - ---------------------- By:/s/ John A. Kane ----------------------------------------- Date: October 7, 1997 IDX SYSTEMS CORPORATION - ---------------------- By:/s/ Michelle Russo ----------------------------------------- Date: October 21, 1997 Page 21 of 32 EXHIBIT "A" Suite Number Square Footage Base Rent CAM - ------------ -------------- --------- --- 300 2,092/$14.50 psf $2,527.83 350 8,793/$11.23 psf 8,228.19 400 10,885/$11.23 psf 10,185.81 1,934.99 --------- -------- TOTAL 20,941.83 1,934.99 Parking Fee 420.00 GRAND TOTAL $23,296.82 ----------- Page 22 of 32 EXHIBIT 10B THIRD AMENDMENT TO LEASE This Third Amendment to Lease is entered into as of October 1, 1996 by and between Huntington Avenue Limited Partnership, a Vermont limited partnership ("Landlord") and IDX Systems Corporation, a Vermont corporation ("Tenant"). RECITALS A. Landlord and Tenant entered into that certain Lease dated as of April 13, 1994, as amended by an Addendum to Office Lease Agreement dated as of June 30, 1994 and by a Second Amendment to Lease dated as of January 1, 1995 (as so amended, the "Lease"), with respect to certain space (the "Premises") located in the building known and numbered as 116 Huntington Avenue, Boston, Massachusetts, all as more particularly set forth therein. B. Landlord and Tenant have agreed to expand the Premises leased to Tenant pursuant to the Lease to include certain space located on the ninth floor of the Building and formerly occupied by the American Association of Retired Persons, which space includes approximately 11,670 rentable square feet and is more fully shown on the floor plan attached hereto as EXHIBIT A and incorporated herein (the "Ninth Floor Expansion Space"). Accordingly, the parties desire that the Lease be appropriately amended, all on the terms and conditions hereinafter set forth. NOW, THEREFORE, in consideration of the mutual covenants and agreements herein contained, and other good and valuable consideration the receipt of sufficiency of which are hereby acknowledged, the parties agree that the Lease shall be amended as follows: 1. EXPANSION OF PREMISES. Effective as of the first day of October, 1996 (the "Expansion Commencement Date") and continuing for the Ninth Floor Expansion Term (as defined below), the Ninth Floor Expansion Space shall be added to and become a part of the Premises, subject to and with the benefit of all of the terms and conditions of the Lease currently in effect, as the same may be modified by the terms of this Third Amendment. From and after the Expansion Commencement Date, and until the expiration of the Ninth Floor Expansion Term, all references to the Premises contained in the Lease shall be deemed to include the Ninth Floor Expansion Space. Landlord and Tenant hereby acknowledge that, as a result of this Third Amendment, the Premises now contain approximately 116,973 rentable square feet. 2. EXPANSION TERM; OPTIONS TO EXTEND. Landlord hereby leases such Ninth Floor Expansion Space to Tenant pursuant to this Third Amendment for a term commencing as of the Expansion Commencement Date and continuing through April 30, Page 23 of 32 2004, unless sooner terminated or hereafter extended, each as provided herein (the "Ninth Floor Expansion Term"). In addition, Tenant shall have the right to extend the Ninth Floor Expansion Term for one or both of two (2) successive five (5) year option terms, such option rights to be exercised in the case of the first such option term pursuant to written notice to Landlord given not less than one (1) year prior to the expiration of the original Ninth Floor Expansion Term and, in the case of the second such option term, pursuant to written notice given to Landlord not less than one (1) year following the expiration of the first option term. All references to the "Term" contained in the Lease shall, with respect to the Ninth Floor Expansion Space, refer to the Ninth Floor Expansion Terms, as the same may be extended to include one or both of the foregoing option terms. Any such option term shall be on the same terms and conditions set forth in the Lease, as herein modified, except that the Base Rent shall be as provided in Paragraph 3 below and there shall be no further right of Tenant to extend the Ninth Floor Expansion Term beyond the expiration of the second such option term. 3. BASE RENT. The definition of Basic Rent set forth in Paragraph 3 of the Lease is hereby amended by inserting the following paragraph at the end thereof: "Effective as of the Expansion Commencement Date and continuing with respect to each lease year or portion thereof contained in the Ninth Floor Expansion Term, Tenant shall pay Base Rent with respect to the Ninth Floor Expansion Space (and in addition to the Base Rent set forth above) as follows: Lease Year Yearly Rent Monthly Rent - ---------- ----------- ------------ October 1, 1996 - $247,404.00 $20,617.00 December 31, 1997 January 1, 1998-April 30, 2004 $270,744.00 $22,562.00 May 1, 2004 - April 2014 $315,090.00 $26,257.50" (Extension Terms, if applicable) 4. OPERATING EXPENSES. Landlord and Tenant hereby agree that the Operating Expenses (as defined in the Lease) incurred by Landlord with respect to calendar year 1992 shall serve as the base for purposes of determining the "Expense Adjustment Amount" (as defined in the Lease) payable by Tenant with respect to the Ninth Floor Expansion Space. Accordingly, the definition of Expense Adjustment Amount set forth in Paragraph 4.3 of the Lease is hereby amended by inserting the following sentence immediately after the first sentence of said Paragraph 4.3: "Notwithstanding the foregoing, for purposes of determining the Expense Adjustment Amount due and payable by Tenant with respect to the Ninth Floor Expansion Space, such Expense Adjustment Amount shall equal Tenant's Pro Rata Share of the amount by which the Operating Expenses Page 24 of 32 (subject to adjustment pursuant to Section 4.4) incurred with respect to each Calendar Year exceeds the Operating Expenses incurred by Landlord with respect to Calendar Year 19962 as determined in accordance with the Lease." 5. TENANT'S PRO RATA SHARE. The definition of Tenant's Pro Rata Share set forth in Paragraph 4.2.2 of the Lease is hereby amended to add the following sentence immediately following the end thereof: "In addition, with respect to the Ninth Floor Expansion Space the term "Tenant's Pro Rate Share" shall mean 4.95%." 6. TENANT ALLOWANCE. Landlord hereby agrees to provide to Tenant an Allowance equal to $15,000 (the "Tenant Allowance") in connection with certain fit up work being performed in the Ninth Floor Expansion Premises by or on behalf of Tenant. The Tenant Allowance shall be paid by Landlord to Tenant upon the completion of such work to Landlord's reasonable satisfaction. 7. POSSESSION. Tenant has inspected the Ninth Floor Expansion Space and agrees to accept the same "as is" without any agreements, representations, understandings or obligations on the part of Landlord to perform any alterations, repairs or improvements. 8. BROKER. Tenant and Landlord each represent that it has not dealt with any broker in connection with this Third Amendment to Lease and the Ninth Floor Expansion Space and insofar as it knows, no broker negotiated this Third Amendment or is entitled to any commission in connection therewith. Tenant and Landlord each agree to indemnify, defend and hold the other party and its beneficiaries, employees, agents, their officers and partners, harmless from and against any claims made by any broker or finder for a commission or fee in connection with this Third Amendment to Lease or the Ninth Floor Expansion Space, as a result of the breach of the foregoing representation by such party. 9. WHOLE AGREEMENT. This Third Amendment to Lease sets forth the entire agreement between the parties with respect to the matters set forth herein.There have been no additional oral or written representations or agreements. As amended herein, the Lease between the parties shall remain in full force and effect and, as so amended, is hereby ratified and confirmed by both Landlord and Tenant. In case of any inconsistency between the provisions of the Lease and this Third Amendment, the provisions of this Third Amendment shall govern and control. Page 25 of 32 10. DEFINED TERMS. All capitalized terms used herein and not otherwise defined shall have the meaning ascribed to such term in the Lease. EXECUTED under seal as of the day and year first above written. LANDLORD: HUNTINGTON AVENUE LIMITED PARTNERSHIP By: Huntington Real Estate Inc., its general partner By:/s/ John A. Kane ----------------------------- Name: Title: Treasurer TENANT: IDX SYSTEMS CORPORATION By:/s/ John A. Kane --------------------------------- Name: Title: CFO Page 26 of 32 EXHIBIT A [SKETCH] Page 27 of 32 EXHIBIT 10C FOURTH AMENDMENT TO LEASE This Fourth Amendment to Lease is entered into as of February 1, 1997 by and between Huntington Avenue Limited Partnership, a Vermont limited partnership ("Landlord") and IDX Systems Corporation, a Vermont corporation ("Tenant"). RECITALS A. Landlord and Tenant entered into that certain Lease dated as of April 13, 1994, as amended by an Addendum to Office Lease Agreement dated as of June 30, 1994, by a Second Amendment to Lease dated as of January 1, 1995 and by a Third Amendment to Lease dated as of October 1, 1996 (as so amended, the "Lease"), with respect to certain space (the "Premises") located in the building known and numbered as 116 Huntington Avenue, Boston, Massachusetts, all as more particularly set forth therein. B. Landlord and Tenant have agreed to expand the Premises leased to Tenant pursuant to the Lease to include certain space located on the eighth floor of the Building containing approximately 3,412 rentable square feet and is more fully shown on the floor plan attached hereto as EXHIBIT A and incorporated herein (the "Eighth Floor Expansion Space"). Accordingly, the parties desire that the Lease be appropriately amended, all on the terms and conditions hereinafter set forth. NOW, THEREFORE, in consideration of the mutual covenants and agreements herein contained, and other good and valuable consideration the receipt of sufficiency of which are hereby acknowledged, the parties agree that the Lease shall be amended as follows: 1. EXPANSION OF PREMISES. Effective as of the first day of February, 1997 (the "Eighth Floor Expansion Commencement Date") and continuing for the Eighth Floor Expansion Term (as defined below), the Eighth Floor Expansion Space shall be added to and become a part of the Premises, subject to and with the benefit of all of the terms and conditions of the Lease currently in effect, as the same may be modified by the terms of this Fourth Amendment. From and after the Eighth Floor Expansion Commencement Date, and until the expiration of the Eighth Floor Expansion Term, all references to the Premises contained in the Lease shall be deemed to include the Eighth Floor Expansion Space. Landlord and Tenant hereby acknowledge that, as a result of this Fourth Amendment, the Premises now contain approximately 120,385 rentable square feet. 2. EXPANSION TERM. Options to Extend. Landlord hereby leases such Eighth Floor Expansion Space to Tenant pursuant to this Fourth Amendment for a term commencing as of the Eighth Floor Expansion Commencement Date and continuing through April 30, 2004, unless sooner terminated or hereafter extended, each as provided herein (the "Eighth Floor Expansion Term"). In addition, Tenant shall have the right to Page 28 of 32 extend the Eighth Floor Expansion Term for one or both of two (2) successive five (5) year option terms, such option rights to be exercised in the case of the first such option term pursuant to written notice to Landlord given not less than one (1) year prior to the expiration of the original Eighth Floor Expansion Term and, in the case of the second such option term, pursuant to written notice given to Landlord not less than one (1) year following the expiration of the first option term. All references to the "Term" contained in the Lease shall, with respect to the Eighth Floor Expansion Space, refer to the Eighth Floor Expansion Term, as the same may be extended to include one or both of the foregoing option terms. Any such option term shall be on the same terms and conditions set forth in the Lease, as herein modified, except that the Base Rent shall be as provided in Paragraph 3 below and there shall be no further right of Tenant to extend the Eighth Floor Expansion Term beyond the expiration of the second such option term. 3. BASE RENT. The definition of Basic Rent set forth in Paragraph 3 of the Lease is hereby amended by inserting the following paragraph at the end thereof: "Effective as of the Eighth Floor Expansion Commencement Date and continuing with respect to each lease year or portion thereof contained in the Eighth Floor Expansion Term, Tenant shall pay Base Rent with respect to the Eighth Floor Expansion Space (and in addition to the Base Rent set forth above) as follows: Lease Year Yearly Rent Monthly Rent - ---------- ----------- ------------ February 1, 1997 - April 30, 2004 $85,300.00 $7,108.33 May 1, 2004 - April 2014 $92,124.00 $7,677.00" (Extension Terms, if applicable) 4. OPERATING EXPENSES. Landlord and Tenant hereby agree that the Operating Expenses (as defined in the Lease) incurred by Landlord with respect to calendar year 1997 shall serve as the base for purposes of determining the "Expense Adjustment Amount" (as defined in the Lease) payable by Tenant with respect to the Eighth Floor Expansion Space. Accordingly, the definition of Expense Adjustment Amount set forth in Paragraph 4.3 of the Lease is hereby amended by deleting the second sentence of said Paragraph 4.3 and inserting in its place the following: "Notwithstanding the foregoing, (i) for purposes of determining the Expense Adjustment Amount due and payable by Tenant with respect to the Ninth Floor Expansion Space, such Expense Adjustment Amount shall equal Tenant's Pro Rata Share of the amount by which the Operating Expenses (subject to adjustment pursuant to Section 4.4) incurred with respect to each Calendar Year exceeds the Operating Expenses incurred by Landlord with respect to Calendar Year 1992, as determined in accordance with the Lease and (ii) for purposes of determining the Expense Adjustment Amount due and payable by Tenant with respect to the Eighth Floor Page 29 of 32 Expansion Space, such Expense Adjustment Amount shall equal Tenant's Pro Rata Share of the amount by which the Operating Expenses (subject to adjustment pursuant to Section 4.4) incurred with respect to each Calendar Year exceeds the Operating Expenses incurred by Landlord with respect to Calendar Year 1997, as determined in accordance with the Lease." 5. TENANT'S PRO RATA SHARE. The definition of Tenant's Pro Rata Share set forth in Paragraph 4.2.2 of the Lease is hereby amended by deleting the last sentence of said Paragraph 4.2.2 and inserting in its place the following: "In addition, (i) with respect to the Ninth Floor Expansion Space the term "Tenant's Pro Rata Share" shall mean 4.95%, and (ii) with respect to the Eighth Floor Expansion Space the term "Tenant's Pro Rata Share" shall mean 1.44%." 6. TENANT ALLOWANCE. Landlord hereby agrees to provide to Tenant an Allowance equal to $17,060.00 (the "Tenant Allowance") in connection with certain fit up work being performed in the Eighth Floor Expansion Premises by or on behalf of Tenant. The Tenant Allowance shall be paid by Landlord to Tenant upon the completion of such work to Landlord's reasonable satisfaction. 7. POSSESSION. Tenant has inspected the Eighth Floor Expansion Space and agrees to accept the same "as is" without any agreements, representatives, understandings or obligations on the part of Landlord to perform any alterations, repairs or improvements. 8. BROKER. Tenant and Landlord each represent that it has not dealt with any broker in connection with this Fourth Amendment to Lease and the Eighth Floor Expansion Space and insofar as it knows, no broker negotiated this Fourth Amendment or is entitled to any commission in connection therewith. Tenant and Landlord each agree to indemnify, defend and hold the other party and its beneficiaries, employees, agents, their officers and partners, harmless from and against any claims made by any broker or finder for a commission or fee in connection with this Fourth Amendment to Lease or the Eighth Floor Expansion Space, as a result of the breach of the foregoing representation by such party. 9. WHOLE AGREEMENT. This Fourth Amendment to Lease sets forth the entire agreement between the parties with respect to the matters set forth herein. There have been no additional oral or written representations or agreements. As amended herein, the Lease between the parties shall remain in full force and effect and, as so amended, is hereby ratified and confirmed by both Landlord and Tenant. In case of any inconsistency between the provisions of the Lease and this Fourth Amendment, the provisions of this Fourth Amendment shall govern and control. 10. DEFINED TERMS. All capitalized terms used herein and not otherwise defined shall have the meaning ascribed to such term in the Lease. Page 30 of 32 EXECUTED under seal as of the day and year first above written. LANDLORD: HUNTINGTON AVENUE LIMITED PARTNERSHIP By: Huntington Real Estate Inc., its general partner By:/s/ John A. Kane ------------------------------ Name: Title: Treasurer TENANT: IDX SYSTEMS CORPORATION By:/s/ John A. Kane ----------------------------- Name Title: CFO Page 31 of 32 EXHIBIT A [SKETCH] Page 32 of 32